颅内动脉瘤破裂早期血管内栓塞与手术治疗的探讨

目的　探讨颅内动脉瘤破裂早期血管内栓塞与显微手术的效果。方法　 160例颅内动脉瘤破裂在 3d内早期经血管内栓塞和显微手术得到治疗 ,其中 114例经血管内栓塞 ,46例显微手术。结果　 114例血管内治疗 ,78例完全闭塞 ,2 1例闭塞 95 % ,10例闭塞 90 % ,5例闭塞 85 %。出院时优 83例 ,良 19例 ,差 1例 ,死亡 11例。显微手术 46例 ,术后 2周行DSA检查证实动脉瘤全部夹闭。出院时 ,优 2 4例 ,良 10例 ,差 4例 ,植物生存 2例 ,死亡 6例。结论　颅内动脉瘤早期治疗 ,是杜绝再次出血的危险 ,有利于脑血管痉挛的防治 ,降低致残率和死亡率。

Exploring of early endovascular embolization and surgical treatment of ruptured intranial aneurysms

Objective To explore the curative effect of early endovascular embolization and Microsurgical treatment on the ruptured intracranial aneurysms.Methods Of 160 ruptured intracranial aneurysms 114 Were treated by endovascular embolization and 46 by microsurgery.Results In 114 patients receiving endovascular embolization,the aneurysms were toally occluded in 78 patients,95% of the aneurysms were occluded in 21 patients,90% in 10 patients and 85% in 5 patients.Satisfactory recovery was obtained in 83 patients,favourable in 19 and poor in 1,and 11 patients died after emboli zation.In 46 patients receiving microsurgery,The aneurysms were totally clipped Satisfactory result were obtained in 24 patierts favourabie in 10 poor in 3 remained unconscious in two and 6 died after surgery,Conclusions Early endovascular emolization and microsurgery intervention can not only decrease disabled and deae rates,but also minimize the risk of vascular spasm in patients with ruptured intracranial aneurysm.